Healthcare Provider Details

I. General information

NPI: 1801648001
Provider Name (Legal Business Name): PREMIER RECOVERY, A NIJJAR CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9186 HARBOUR POINT DR
ELK GROVE CA
95758-7161
US

IV. Provider business mailing address

9186 HARBOUR POINT DR
ELK GROVE CA
95758-7161
US

V. Phone/Fax

Practice location:
  • Phone: 916-895-4167
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KULVIR SINGH NIJJAR
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 916-947-2174